scholarly journals A historical analysis of the Mediterranean Diet’s rise to prominence through the lens of Critical Race Theory

2021 ◽  
Vol 5 (2) ◽  
pp. 41-52
Author(s):  
Kate Burt

Ample evidence indicates that adherence to the Mediterranean diet (MedDiet) decreases the risk of cardiovascular disease, stroke, heart failure, cancer mortality, type 2 diabetes, overweight, and obesity. The MedDiet is widely accepted as a gold standard diet, yet its adoption and promotion as the healthiest cultural diet reflects systemic racism and inherently biased research, rather than evidence-based science. This analysis establishes that while the Mediterranean region is multi-cultural and multi-ethnic, the MedDiet is a White diet. It also asserts that a lack of causal research and other methodologic issues in research about the MedDiet has resulted in a hyperfocus on the MedDiet over other cultural diets. Third, this essay compares the MedDiet to the traditional Chinese and African diets to assert that many cultural diets are healthy and may be as healthy as the MedDiet. Ultimately, health professionals promoting the MedDiet as a gold standard marginalize people from non-White cultures by maintaining White culture as normative. In order to better serve and include people of color, dietary recommendations need to become as diverse as the US population. Doing so will also improve cultural competence among professionals, lead to a more equitable profession

Author(s):  
Luisa Lampignano ◽  
Roberta Zupo ◽  
Rossella Donghia ◽  
Vito Guerra ◽  
Fabio Castellana ◽  
...  

Background: There is moderate-to-high evidence that the Mediterranean diet prevents increases in body weight and waist circumference in non-obese individuals but less is known about its effects in subjects with overweight and obesity. The present study was focused on exploring the cross-sectional association among the adherence to Mediterranean diet and the most commonly used variables of metabolic and cardiovascular risk factors in a cohort of overweight subjects from a typical Mediterranean region, Apulia, in Southern Italy. Methods:: The study was performed in a cohort of 1214 individuals, all with overweight or obesity but no other clinical condition. We investigated the association among adherence to Mediterranean diet, assessed with the PREDIMED score, and anthropometric parameters [namely body mass index (BMI), WC, waist to height ratio (WHtR) and neck circumference (NC)], fasting serum levels of glucose, insulin, uric acid and lipids (triglycerides, total cholesterol, HDL cholesterol and LDL cholesterol), and blood pressure and insulin resistance, measured by HOMA-IR. Results:: The waist to height ratio was negatively associated to a PREDIMED score ≥7 (p<0.04), whereas HDL cholesterol was positively associated to a PREDIMED score ≥7 (p<0.04) Conclusion: This study suggests that body fat distribution and HDL-cholesterol are the parameters most strongly influenced by MedDiet in Apulian subjects.


2021 ◽  
pp. 004208592199841
Author(s):  
Arthur Romano ◽  
Rochelle Arms Almengor

This paper uses critical race theory to analyze several case studies focused on the experiences of two restorative justice coordinators (RJCs), both Black women and how they understood and responded to perceived racial injustices in urban schools with white leadership. These schools were attempting to address unequal disciplinary practices toward students of color through restorative justice and the RJCs adapted their approaches to addressing racialized dynamics while also developing school-wide networks to foster broader critical reflection on race. They navigated the risks of challenging white privilege and systemic racism both of which at times limited their attempts at influencing change.


Collections ◽  
2020 ◽  
pp. 155019062098103
Author(s):  
Shonda Nicole Gladden

As a scholar practitioner, a trained philosophical theologian, Methodist clergywoman, and social enterprise founder who is conducting oral histories as part of my doctoral internship in the IUPUI Arts and Humanities Institute, my scholarly lens and methodological skills are being defined as I interrogate the COVID-19 archive. In this article I attempt to offer some preliminary reflections on my oral history curation focused on how Black and brown artists and activists, primarily based in Indianapolis, IN, frame their lived experiences of death, dying, mourning, and bereavement in the wake of COVID-19 utilizing critical archival practices: those practices that take seriously the methods of critical race theory, critical gender theory, Womanist, mujerista, and feminist methodologies, to name a few. The COVID-19 archive is a collection of oral histories, stories and artifacts depicting the times in which we are living, through the lenses of storytellers grappling with the pandemics of systemic racism, COVID-19, distrust in government, and various relics representing the idea of the United States of America in 2020, as such, I conclude with a brief exploration of how art emerges as both an outlet for creators and a mode of illumination for consumers.


Metabolites ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 267
Author(s):  
Anna Bartosiewicz ◽  
Edyta Łuszczki ◽  
Małgorzata Nagórska ◽  
Łukasz Oleksy ◽  
Artur Stolarczyk ◽  
...  

The metabolic syndrome, also known as syndrome X or the insulin resistance, is defined by the World Health Organization as a pathologic condition characterized by abdominal obesity, insulin resistance, hypertension, and hyperlipidemia. Both all over the world and in Poland, there is a shortage of nurses; most of those employed are in the pre-retirement age. However, the requirements in this profession and the patient’s right to care at the highest level remain unchanged and do not take into account the poor condition or age of working nurses, so special attention should be paid to the state of health in this professional group. There is an emphasis on the importance of the adopted attitude toward health and the resulting behaviors, such as regular weight control, following dietary recommendations, regular physical activity and participation in preventive examinations. The aim of the study was to assess the frequency of the occurrence of the metabolic syndrome, its individual components and determining the factors influencing its development in Polish nurses. The research conducted among the nurses in question included DXA (Dual Energy X-ray Absorptiometry) measurements, assessment of glucose concentration, lipid profile, blood pressure and a questionnaire survey. Almost half of the surveyed nurses have metabolic syndrome, which significantly increases the risk of developing cardiovascular diseases or diabetes. After multivariate analysis, it was found that being overweight and obesity were significant factors influenced the MS (metabolic syndrome) occurrence among Polish nurses. Being overweight increases the chances of MS occurrence 8.58 times in relation to BMI (Body Mass Index) <25, obesity increases the chances of MS occurrence 8.085 times in relation to BMI <25, and obesity class II/III increases the chances of MS occurrence 16.505 times in relation to BMI <25. Preventive and supportive measures for this professional group are needed.


2004 ◽  
Vol 38 (3) ◽  
pp. 489-495 ◽  
Author(s):  
JOHN DUMBRELL

H. W. Brands, The Strange Death of American Liberalism (New Haven and London: Yale University Press, paperback edition, 2003, £9.95). Pp. 200. ISBN 0 300 098 24 3.Michael J. Gerhardt, The Federal Appointments Process: A Constitutional and Historical Analysis (Durham NC and London: Duke University Press, revised and expanded paperback edition, 2003, £18.50). Pp. 406. ISBN 0 8223 3199 3.William G. Howell, Power without Persuasion: The Politics of Direct Presidential Action (Princeton NJ and Oxford: Princeton University Press, 2003, cloth £29.95, paper £12.95). Pp. 239. ISBN 0 691 10269, 0 691 10270 8.Drew Noble Lanier, Of Time and Judicial Behavior: United States Supreme Court Agenda – Setting and Decision-Making, 1888–1997 (Selinsgrove PA: Susquehanna University Press and London: Associated University Presses, 2003, $42.50). Pp. 276. ISBN 1 57591 067 5.Byron E. Shafer, The Two Majorities and the Puzzle of Modern American Politics (Lawrence: University Press of Kansas, 2003, cloth $35, paper $19.95). Pp. 356. ISBN 0 7006 1235 1, 0 7006 1236 X.One does not have to be an especially sophisticated philosopher of explanatory method to appreciate that, in explaining change in human affairs, much depends on the situation of and level of analysis adopted by the would-be explainer. Do the dots connect or are they mostly what they appear to be – just dots? Reality, according to Bertrand Russell's famous aphorism, is either a bowl of connected jelly or a bucket of disconnected shot. It all depends on the observer, who, of course, is also part of the reality being considered.


2020 ◽  
Vol 96 (2) ◽  
pp. 419-437
Author(s):  
Xiangfeng Yang

Abstract Ample evidence exists that China was caught off guard by the Trump administration's onslaught of punishing acts—the trade war being a prime, but far from the only, example. This article, in addition to contextualizing their earlier optimism about the relations with the United States under President Trump, examines why Chinese leaders and analysts were surprised by the turn of events. It argues that three main factors contributed to the lapse of judgment. First, Chinese officials and analysts grossly misunderstood Donald Trump the individual. By overemphasizing his pragmatism while downplaying his unpredictability, they ended up underprepared for the policies he unleashed. Second, some ingrained Chinese beliefs, manifested in the analogies of the pendulum swing and the ‘bickering couple’, as well as the narrative of the ‘ballast’, lulled officials and scholars into undue optimism about the stability of the broader relationship. Third, analytical and methodological problems as well as political considerations prevented them from fully grasping the strategic shift against China in the US.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1101-1101
Author(s):  
Summer Wilmoth ◽  
Yolanda Flores-Peña ◽  
Leah Carrillo ◽  
Elana Martinez ◽  
Erica Sosa ◽  
...  

Abstract Objectives Childhood obesity is a major public health concern, which disproportionally affects Hispanic children in the United States (US) and Mexico. Mothers are key influencers to their children's health and growth. As part of a pilot obesity prevention study, Hispanic mothers’ perception of their preschoolers’ weight status was assessed to inform the development of intervention strategies. Methods Study subjects were Hispanic mothers and their preschoolers between the ages of 3 and 5 enrolled in participating Head Star Centers in Texas, US or kindergartens in Northern Mexico. Upon informed consent, mothers completed a self-administered questionnaire assessing their perception of their preschoolers’ weight status. Preschoolers’ body weight and height were measured; and their actual weight status was classified using the CDC's age and gender specific BMI references. Results Preliminary data included 85 and 294 child-mother pairs from US and Mexico, respectively. The US sample had a higher rate of overweight and obesity (35%) in comparison to the Mexico sample (19%). There was a great discrepancy between mothers’ perception and their children's actual weight status in both samples. Although only approximately 5% of children were underweight, 14% of American and 24% of Mexican mothers perceived their children being underweight. Contrarily, only 4.8% of American mothers perceived their children as a little overweight or obese, as compared to the actual rate of 35%. Similarly, only 5% of Mexican mothers perceived their children as a little overweight or obese, as compared to the actual rate of 19%. Conclusions Hispanic mothers in the US and Mexico appear to worry about their normal weight children being underweight, while overlooking the overweight and obesity problem. Early childhood obesity prevention programming is needed to aggressively address Hispanic mothers’ preference of chubby children, and the mothers’ underestimation of overweight and obesity among their preschoolers. Funding Sources The Mexico's National Science and Technology Council & The Kellogg´s Institute of Nutrition and Health.


2017 ◽  
Vol 127 (2) ◽  
pp. 92-95
Author(s):  
Karolina Goral ◽  
Justyna Siwiela-Tomaszczyk ◽  
Renata Krzyszycha ◽  
Michał Skrzypek

Abstract The objective of the study is a critical analysis of the selected alternative diets used in the treatment of obesity inconsistent with the recommended standards, from the perspective of clinical dieticians, based on up-to-date guidelines for dietary management of obesity. Attention was paid to the assumptions of the selected alternative diets, some physiological mechanisms related with their use, as well as the deficit of data pertaining their distant effectiveness and safety. In the context of the current epidemiological situation concerning the prevalence of obesity, it is justifiable to undertake actions aimed at the professionalization of dietary management in obesity, consisting in the application of the treatment methods based on data generated in the EBM paradigm, with a simultaneous indication and criticism of dietary pseudo-therapies with unconfirmed curative value which, in addition, do not guarantee the reduction of the risk of metabolic complications of obesity.


Nutrients ◽  
2018 ◽  
Vol 10 (8) ◽  
pp. 1075 ◽  
Author(s):  
Victoria Muñoz-Hernandez ◽  
Lide Arenaza ◽  
Luis Gracia-Marco ◽  
Maria Medrano ◽  
Elisa Merchan Ramirez ◽  
...  

The objective of the present cross-sectional study was to examine the associations of physical activity and the adherence to the Mediterranean dietary pattern (MDP) with bone mineral content (BMC) and density (BMD) in children with overweight and obesity. A total of 177 (n = 80 girls) children with overweight and obesity aged 8 to 12 years old participated in the study. Both BMC and BMD were assessed by Dual-Energy X-ray absorptiometry. Dietary patterns were assessed by the KIDMED questionnaire and two 24-hour recalls. Physical activity was assessed by accelerometers for 7 consecutive days (24 hours/day). Low adherence to the MDP was observed in 82.4% of participants. Higher physical activity levels (of at least moderate intensity) and lower sedentary time were significantly associated with BMC and BMD in children with low adherence to the MDP (all p < 0.05). No associations were observed between physical activity and BMC and BMD in children with high adherence to the MDP. In conclusion, engaging in moderate to vigorous physical activity and reducing the time spent in sedentary behavior might be particularly beneficial for improving bone health in overweight or obese children with poor adherence to the Mediterranean dietary pattern.


ISRN Obesity ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Ruopeng An

Aim. To provide national estimates of obesity among US adults aged 20 years and older in 2011-2012 and track its trends from 1999 to 2012. Methods. Measured weight/height from National Health and Nutrition Examination Survey 1999–2012 waves was used to calculate body mass index (BMI) and prevalence measures. Piecewise logistic regressions were conducted to test the differential trends before and after 2010. Results. In 2011-2012, the age-adjusted prevalence of overweight and obesity combined (BMI≥25) was 71.1% (95% CI: 68.0%–74.2%) among men and 65.5% (61.8%–69.3%) among women, and the prevalence of obesity (BMI≥30) was 33.3% (30.5%–36.2%) among men and 35.8% (32.3%–39.4%) among women. From 1990–2000 to 2009-2010, the prevalence of overweight and obesity combined, obesity, grades 2 and 3 obesity combined (BMI≥35), and grade 3 obesity (BMI≥40) increased by 7.2%, 17.8%, 17.6%, and 33.0%, respectively. Compared to 2009-2010, most gender- and race/ethnicity-specific prevalence measures remained unchanged or slightly decreased in 2011-2012. No significant difference in trends among prevalence measures was found before and after 2010. Conclusions. Concurrent evidence on the leveling off of obesity in the US is thin. Given its high prevalence and profound socioeconomic consequences, close monitoring of the trend is warranted.


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